Faculty Opinions recommendation of Worsening of symptoms is associated with lower physical activity levels in individuals with multiple sclerosis.

Author(s):  
Egon Stenager ◽  
Ulrik Dalgas
2008 ◽  
Vol 14 (1) ◽  
pp. 140-142 ◽  
Author(s):  
R.W. Motl ◽  
P.A. Arnett ◽  
M.M. Smith ◽  
F.H. Barwick ◽  
B. Ahlstrom ◽  
...  

The present study examined the relationship between the worsening of symptoms across a 3—5-year period of time and self-reported physical activity in a sample of 51 individuals with multiple sclerosis (MS). Of the 51 participants, 35 reported a worsening of symptoms over the 3—5-year period of time. The worsening of symptoms was associated with significantly and moderately lower levels of self-reported physical activity independent of depression and EDSS scores and MS-disease course ( P=0.04). This study provides novel evidence that a worsening of symptoms is associated with lower levels of physical activity in individuals with MS. Multiple Sclerosis 2008; 14: 140—142. http://msj.sagepub.com


2020 ◽  
Vol 11 ◽  
Author(s):  
Dena Sadeghi Bahmani ◽  
Roman Gonzenbach ◽  
Jürg Kesselring ◽  
Jens Bansi ◽  
Robert W. Motl ◽  
...  

Background: Persons with multiple sclerosis (PwMS) are at increased risk to report poor sleep patterns and lower physical activity indices. To date, data on longitudinal objectively sleep assessment is missing. In the present study, we investigated the pattern of objective sleep and subjective physical activity indices over a period of 13.5 months, under naturalistic conditions.Method: 13.5 months after their first assessment, a total of 16 PwMS (mean age = 49.13 median EDSS score: 5; 11 females) were reassessed on their objective sleep via portable sleep-electroencephalogram (EEG-) devices, along with their subjective sleep patterns (symptoms of insomnia, restless legs syndrome (RLS), and sleep-disordered breathing), physical activity indices, psychological functioning (symptoms of depression, fatigue, daytime sleepiness), and MS-related information (fatigue, EDSS; disease-modifying treatments). While the baseline assessment was performed in a rehabilitation center, the follow-up assessment took place at participants' naturalistic and familiar setting.Results: Statistically, symptoms of depression and fatigue, subjective sleep, and physical activity levels did neither increase, nor decrease over time, although descriptively, both moderate and vigorous physical activity levels decreased, and fatigue and subjective insomnia increased. Time awake after sleep onset statistically significantly decreased, while light sleep duration increased by trend.Conclusions: Among a smaller sample of PwMS, objective sleep in their naturalistic setting remained fairly stable over a mean time lapse of 13.5 months after clinic discharge. Physical activity levels descriptively decreased. The present results are of clinical and practical importance for treatment counseling: PwMS can be reassured that their sleep quality does not deteriorate, once they have left a rehabilitation center. Further, they should be encouraged to keeping their physical activity levels as stable as possible.


2012 ◽  
Vol 26 (S1) ◽  
Author(s):  
James P DeLany ◽  
John M Jakicic ◽  
David E Kelley ◽  
Kazanna C Hames ◽  
Bret H Goodpaster

Author(s):  
Anne-Elie Carsin ◽  
Elaine Fuertes ◽  
Debbie Jarvis ◽  
Josep M Antó ◽  
Joachim Heinrich ◽  
...  

2021 ◽  
Vol 2 ◽  
Author(s):  
Andrea Marjorie Stennett ◽  
Lorraine H. De Souza ◽  
Meriel Norris

People with multiple sclerosis (MS) report lower physical activity levels and are at a risk of becoming sedentary. As such, they are at an increased risk of developing secondary health conditions associated with inactivity. This is of major public health concern. Attempts to improve the physical activity levels in people with MS remain a challenge for health professionals. One key reason might be the lack of understanding about the meanings people with MS ascribe to exercise and physical activity. This paper draws on the key findings of a three-phased interconnected mixed methods sequential explanatory study to examine the meanings of exercise and physical activity from the perspectives of people with MS and health professionals. Phase 1 used a four-round Delphi questionnaire to scope and determine the consensus of priorities for exercise and physical activity and the reasons why people with MS (N = 101) engaged in these activities. Phase 2 used face-to-face semistructured interviews of people with MS (N = 16) to explore the meanings ascribed to exercise and physical activity. Phase 3 explored the perceptions of physiotherapists (N = 14) about exercise and physical activity using three focus groups. Using the International Classification of Functioning, Disability, and Health as a theoretical framework to underpin this study, the authors discuss the key factors, for example, emphasis on the contextual factors, that drive decision making around exercise and physical activity participation in people with MS and explore the clinical implications to health professionals.


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